Brady Pregerson, MD

: A woman in her early 60s presents to the hospital with pleuritic midsternal pain radiating from left to right and to left upper back. She has mild SOB but no fever, cough, leg symptoms, or other complaints. She denies syncope, palpitations, or other complaints.

: Vital signs are normal. Exam is normal except for mild chest wall tenderness.

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Our latest case report features a woman in her early 60s presents to the hospital with pleuritic midsternal pain radiating from left to right and to left upper back. Check out the EKG and see if you can determine the correct diagnosis!

Cardiology Case Report: Pleurisy

A man in his mid-80’s with hypertension, pleural disease and atrial fibrillation on rivaroxaban and carvedilol presents with 2 days of chest pain radiating to his upper back. He describes his pain as constant, waxing and waning, 8/10 in severity and worse with deep inhalation or lying supine. He has had a very slight cough but denies fever, flu or shortness of breath. He also denies diaphoresis, nausea, vomiting, abdominal pain, leg swelling, palpitations or other complaints.

Vital signs and physical exam are normal except for an irregular heart rate.

Computer Read: atrial fibrillation at 61 with PVC

Our latest case report features a man in his mid-80s with hypertension, pleural disease, and AF, presenting with 2 days of chest pain radiating to his upper back. Check out the EKG and see if you can determine the correct diagnosis. 

Case Report: Chest Pain Radiating to the Back

: A woman in her mid-80’s with a history of breast cancer presents to the hospital with 3-4 episodes a day of chest burning that feels like indigestion occurring daily for the past 3 days. The episodes are not triggered by food or activity and last about 30 minutes at a time. When she takes Maalox she states they seem to go away more quickly. She denies any nausea, vomiting, palpitations, pain, SOB, fever, cough or other complaints. She went to a minute clinic and they sent her to the ER for an irregular heartbeat.

: Vital signs are normal except for slightly elevated BP.Her abdomen is non-tender

Computer Read: NSR with occasional PVC, T wave abnormal, consider ischemia, long QT (489ms).

Our latest case report from Brady Pregerson, MD, features a woman in her mid-80s with a history of breast cancer presenting to the hospital with a burning sensation in her chest for the past 3 days she describes as feeling like indigestion. Can you determine the correct diagnosis?

Cardiology Case Report: Indigestion

: A man in his mid-60s with hypertension and diabetes mellitus presents to the hospital for alcohol withdrawal. He states his last drink was about 12 hours ago and he has been having palpitations and shakiness today. He denies any abdominal pain or vomiting but he did have some shortness of breath earlier today when he had palpitations. He denies any syncope, near-syncope, chest pain, or other complaints.

: Vital signs are normal except for pulse of 128 and BP of 163/101. He is well-groomed and pleasant without nystagmus but does have some mild tremor.

An EKG is done due to the tachycardia and the earlier SOB.

Computer Read: ST 126, inferior-posterior infarct age undetermined.

The latest case report from Brady Pregerson, MD, features a man in his mid-60’s with hypertension and diabetes presenting to the hospital for alcohol withdrawal, with reports of tachycardia and shortness of breath. Can you determine the correct diagnosis?

Cardiology Case Report: Alcohol Withdrawal

: A woman in her mid-70’s presents to the hospital for a head injury. She wasn’t going to seek care but her neighbor insisted. She was triaged as “tripped and fell taking out the trash yesterday. Hit her head.” However when you ask the right questions you discover she was pulling a heavy trash can uphill and started to feel short of breath then light-headed. She then stumbled and fainted. You also discover that 3 weeks ago her right leg was swollen for a few days then resolved. She denies any palpitations, chest pain, fever, cough or other complaints. She has no significant past medical history.

: Vital signs and physical exam including her legs is normal. A chest x-ray is done and is read out as normal. 

Computer Read: NSR = 91, LAD, low voltage QRS, Incomplete RBBB, inferior infarct age undetermined, anterolateral infarct age undetermined

Our latest case report from Brady Pregerson, MD, features a woman in her mid-70’s presenting with a head injury and reports having a swollen leg for a few days 3 weeks ago that has since resolved. Can you determine the correct diagnosis?

Cardiology Case Report: Fainting and Swollen Leg

: You get sign out at 6 AM, and one of the patients is a man in his mid-40’s who presented with epigastric pain. He has normal GI labs but is pending an ultrasound with a plan for discharge home if normal. The ultrasound comes back normal so you go and speak with him. He states that the pain started around 11 PM and peaked around midnight. It was constant and wasn’t getting any better until the nurse gave him an antacid a few hours ago which really seemed to help. He denies any shortness of breath, sweating, nausea, vomiting, chest pain, or other complaints.

: Vital signs are normal as is the exam including no epigastric tenderness.

: CBC, BMP, LFT’s and lipase are all normal.

: No EKG or troponin had been ordered so you order one.

Check out the latest cardiology case report from Brady Pregerson, MD. This report features a man in his mid-40s with epigastric pain but no reports of any shortness of breath, sweating, nausea, vomiting, chest pain, or other complaints. Can you determine the correct diagnosis?